| NPI | 1659945145 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HANY DELACARIDAD URDANETA Clinical Director 786-799-0960 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QC1500X Clinic/Center, Community Health |
| Enumeration Date | 2021-05-18 |
| Last Update Date | 2021-05-18 |